Cervical Cancer Screening Among Adult Women in China, 2010

Introduction. Cervical cancer is one of the most commonly diagnosed cancers among women in China.The World Health Organization (WHO) recommends routine screening for cervical cancer, and the WHO Global Monitoring Framework suggeststhateverynationmonitorscervicalcancerscreening. However, little information is available on cervical cancer screening behavior among women in China. Methods.We used data from the 2010 China Chronic Disease and Risk Factor Surveillance System that included 51,989 women aged 18 years and older.We report the proportion of women who reported ever having had a Papanicolaou (Pap) test, stratified by sociodemographic characteristics and geographicregion.Multivariablelogisticregressionmodelingwas performed to adjust for potential confounders. Results. Overall,21%of51,989womenreportedhavingever had a Pap test.The highest proportion was reported among women aged 30–39 years (30.1%, 95% confidence interval, 26.8%–33.4%). In all geographic regions, women in rural areas were consistently less likely than women in urban areas to report having had a Pap test. Among women who reported ever having a Pap test, 82% reported having the most recent test in the past 3 years. Factors associated with reporting ever having a test were being aged 30–49 years, higher education, being married, and having urban health